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General NPI Number Information
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NPI Number | 1033244496
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Entity Type | Organization
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Legal Business Name | ATLANTIC WOMENS CARE LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 306 POLK AVE
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City | MILFORD
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State | DE
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Zip | 19963
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Country | US
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Telephone | 302-424-2200
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Fax | 302-424-2202
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Provider Business Mailing Address
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Address Line | 306 POLK AVE
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City | MILFORD
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State | DE
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Zip | 19963
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Country | US
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Telephone | 302-424-2200
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Fax | 302-424-2202
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINA KEITH
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Credential |
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Telephone | 302-424-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | CL0004906
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2002111176
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License Number State | DE
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